| NPI | 1366536146 |
|---|---|
| Doing Business As | SAN CLEMENTE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRIAN D BUEHLER Owner Dds 949-366-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38166) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 34407) |
| 1223P0300X Dentist, Periodontics (Licence: CA 46393) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 51692) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 45821) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |